0TWD4DZ ICD-10-PCS Code: Revision of Intraluminal Device in Urethra, Percutaneous Endoscopic Approach
Revision of Intralum Dev in Urethra, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemT | Urinary System |
| 3 | Root OperationW | Revision Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| 4 | Body PartD | Urethra |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceD | Intraluminal Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 5 MS-DRGs:
- MDC 11 — Urethral Procedures: DRG 671, DRG 672
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0TW54DZ — Revision of Intraluminal Device in Kidney, Percutaneous Endoscopic Approach, 0TW94DZ — Revision of Intraluminal Device in Ureter, Percutaneous Endoscopic Approach, 0TWB4DZ — Revision of Intraluminal Device in Bladder, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0TWD0DZ — Revision of Intraluminal Device in Urethra, Open Approach, 0TWD3DZ — Revision of Intraluminal Device in Urethra, Percutaneous Approach, 0TWD7DZ — Revision of Intraluminal Device in Urethra, Via Natural or Artificial Opening, 0TWD8DZ — Revision of Intraluminal Device in Urethra, Via Natural or Artificial Opening Endoscopic, 0TWDXDZ — Revision of Intraluminal Device in Urethra, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0TWD42Z — Revision of Monitoring Device in Urethra, Percutaneous Endoscopic Approach, 0TWD43Z — Revision of Infusion Device in Urethra, Percutaneous Endoscopic Approach, 0TWD47Z — Revision of Autologous Tissue Substitute in Urethra, Percutaneous Endoscopic Approach, 0TWD4CZ — Revision of Extraluminal Device in Urethra, Percutaneous Endoscopic Approach, 0TWD4JZ — Revision of Synthetic Substitute in Urethra, Percutaneous Endoscopic Approach, 0TWD4KZ — Revision of Nonautologous Tissue Substitute in Urethra, Percutaneous Endoscopic Approach, 0TWD4LZ — Revision of Artificial Sphincter in Urethra, Percutaneous Endoscopic Approach, 0TWD4YZ — Revision of Other Device in Urethra, Percutaneous Endoscopic Approach, +1 more
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bladder catheterization and drainage (Urinary System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0TPB40Z — Removal of Drainage Device from Bladder, Percutaneous Endoscopic Approach, 0TPB4DZ — Removal of Intraluminal Device from Bladder, Percutaneous Endoscopic Approach, 0TPB70Z — Removal of Drainage Device from Bladder, Via Natural or Artificial Opening, 0TPB7DZ — Removal of Intraluminal Device from Bladder, Via Natural or Artificial Opening, 0TPB80Z — Removal of Drainage Device from Bladder, Via Natural or Artificial Opening Endoscopic, 0TPB8DZ — Removal of Intraluminal Device from Bladder, Via Natural or Artificial Opening Endoscopic, 0TPBX0Z — Removal of Drainage Device from Bladder, External Approach, 0TPBXDZ — Removal of Intraluminal Device from Bladder, External Approach, 0TPD00Z — Removal of Drainage Device from Urethra, Open Approach, 0TPD0DZ — Removal of Intraluminal Device from Urethra, Open Approach, 0TPD30Z — Removal of Drainage Device from Urethra, Percutaneous Approach, 0TPD3DZ — Removal of Intraluminal Device from Urethra, Percutaneous Approach, 0TPD40Z — Removal of Drainage Device from Urethra, Percutaneous Endoscopic Approach, 0TPD4DZ — Removal of Intraluminal Device from Urethra, Percutaneous Endoscopic Approach, 0TPD70Z — Removal of Drainage Device from Urethra, Via Natural or Artificial Opening, 0TPD7DZ — Removal of Intraluminal Device from Urethra, Via Natural or Artificial Opening, 0TPD80Z — Removal of Drainage Device from Urethra, Via Natural or Artificial Opening Endoscopic, 0TPD8DZ — Removal of Intraluminal Device from Urethra, Via Natural or Artificial Opening Endoscopic, 0TPDX0Z — Removal of Drainage Device from Urethra, External Approach, 0TPDXDZ — Removal of Intraluminal Device from Urethra, External Approach, +38 more
Contextual Map
Every relationship of 0TWD4DZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0TWD4DZ with these 5 related codes in Claim Check
PCS table
- 0TW[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Urinary System — Body System: Urinary System[Body System]: “Urinary System”— CMS ICD-10-PCS tables
- Revision — Operation: Revision[Operation]: “Revision”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 671 — URETHRAL PROCEDURES WITH CC/MCC[MS-DRG]: “URETHRAL PROCEDURES WITH CC/MCC — Urethral Procedures (MDC 11)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 672 — URETHRAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “URETHRAL PROCEDURES WITHOUT CC/MCC — Urethral Procedures (MDC 11)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
Clinical classification (CCSR)
- URN006 — Bladder catheterization and drainage[CCSR category]: “Bladder catheterization and drainage — Urinary System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (7149)
- MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract[MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- A18.10 — Tuberculosis of genitourinary system, unspecified[Same-MDC diagnosis]: “Tuberculosis of genitourinary system, unspecified — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A18.11 — Tuberculosis of kidney and ureter[Same-MDC diagnosis]: “Tuberculosis of kidney and ureter — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A18.12 — Tuberculosis of bladder[Same-MDC diagnosis]: “Tuberculosis of bladder — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A18.13 — Tuberculosis of other urinary organs[Same-MDC diagnosis]: “Tuberculosis of other urinary organs — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.85 — Diphtheritic cystitis[Same-MDC diagnosis]: “Diphtheritic cystitis — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 7144 more
Nearest codes
- 0TW54DZ — Revision of Intraluminal Device in Kidney, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0TW94DZ — Revision of Intraluminal Device in Ureter, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0TWB4DZ — Revision of Intraluminal Device in Bladder, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0TWD0DZ — Revision of Intraluminal Device in Urethra, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0TWD3DZ — Revision of Intraluminal Device in Urethra, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0TWD40Z — Revision of Drainage Device in Urethra, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0TWD42Z — Revision of Monitoring Device in Urethra, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0TWD43Z — Revision of Infusion Device in Urethra, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources